| NPI | 1316255649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 9060) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 6699) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |